Overview
The cheek bone or maxilla is hollow. This keeps the bones of the face nice and light. The space inside any face bone is called a sinus. The sinus in the maxilla is sometimes called the antrum and is very large. The bone between the sinus and the inside of the nose is thin like an egg shell. The sinus in the cheek bone has a little drain hole which leads into the upper part of the inside of your nose. Normally the hole lets in air. Infection may drain from the sinus into your nose.
This hole often gets blocked if the sinus becomes infected. Sometimes just some swelling of the lining of the nose during a cold will block the hole. It causes unpleasant pains in the cheekbones and sometimes upper toothache - "sinus trouble". Usually antibiotics and sprays will control the infection and let the hole unblock itself. In your case, you keep having blockages despite this treatment. Your sinus needs to be washed out to get rid of the infection. This should give the tissues a chance to heal properly.
The Operation
You will have a general anaesthetic and be completely asleep. A fine metal tube will be pushed into the nose and through the thin bone of the maxilla into the sinus. Salty water will be flushed through the tube into the sinus. The salty water will come out of the little drain hole in the sinus, and drain into the nose.
Any pus or infected fluid will come out as well. A specimen of the infected fluid will be taken so that it can be examined so that the bugs causing the infection can be identified and then the rest washed away. The metal tube will then be taken out. The inside of the nose usually heals very quickly. There is no need for any stitches.
If the little hole in the sinus is blocked by infection, or if the infection is very bad, the surgeon will make a bigger hole into the sinus to help drain the infection away. Because you are asleep, you will not feel any pain at all during the operation. Your operation can be done as a day case. This means that you come into hospital on the day of your operation, and go home the same day.
Possible Complications
As with any operation under general anaesthetic, there is a very small risk of complications related to your heart and the lungs. The tests that you will have before the operation will make sure that you can have the operation in the safest possible way and will bring the risk for such complications very close to zero.
If you follow the advice given above, you are unlikely to have any problems. There is a small risk that the nose may bleed when you get home. If this is just a spot or two you should not worry. If the nose continues to bleed for more than an hour, come back to the ward.
There is a small risk of infection at the area of the operation. If you develop increasing pain in the cheek bone or the nose, a headache or a temperature, it probably means that an infection is developing and you will need medical attention promptly. Taking antibiotics for a week or two usually solves the problem.
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